Page 22 - QSC Benefits Guide 7-18 CALIFORNIA PRINT

WELLNESS PROGRAM DISCLOSURE

QSC is committed to providing you with a workplace that fosters good health and well being. Rewards for participating in a
voluntary wellness program is available to all employees. The program is administered according to federal rules permitting
employer-sponsored wellness programs that seek to improve employee health or prevent disease, including the Americans
with Disabilities Act of 1990, the Genetic Information Nondiscrimination Act of 2008, and the Health Insurance Portability
and Accountability Act, as applicable, among others. If you choose to participate in the wellness program, you may be asked
to complete certain voluntary health-related activities. Examples of these voluntary activities may include:
• A biometric screening, which may include a blood test for certain conditions including total cholesterol, HDL cholesterol,
LDL cholesterol, triglycerides and glucose, as well as potentially blood pressure, weight, height, waist circumference,
and body mass index (BMI) , and
• A Tobacco Cessation Program- a program that encourages quitting/ reducing utilization of any form of tobacco product
and offers an opportunity to enroll/ participate and receive support (example: CIGNA Quit Today®).

Incentives may be offered to employees who participate in the wellness program and complete the applicable activities
above. Additional incentives may also be available for employees who participate in certain other health-related activities or
achieve certain health outcomes if applicable. Although you are not required to complete the applicable tasks listed above,
employees who do so will receive the incentive. If you have questions about your company’s wellness program and the
incentives, please contact the Human Resources Department.

If you are unable to participate in any of the health-related activities or achieve any of the health outcomes required to
earn an incentive, you may be entitled to a reasonable accommodation or an alternative standard. You may request this
accommodation or an alternative standard by contacting the Human Resources Department.

The information from your biometric screening will be used to provide you with information to help you understand your
current health and potential risks, and may also be used to offer you services through the wellness program. You also are
encouraged to share your results or concerns with your own doctor.

Protections from Disclosure of Medical Information
We are required by law to maintain the privacy and security of your personally identifiable health information. Although
the wellness program and QSC may use aggregate information it collects to design a program based on identified health
risks in the workplace, QSC’s wellness program will never disclose any of your personal information either publicly or to the
employer, except as necessary to respond to a request from you for a reasonable accommodation needed to participate in
the wellness program, or as expressly permitted by law. Medical information that personally identifies you that is provided
in connection with the wellness program will not be provided to your supervisors or managers and may never be used to
make decisions regarding your employment.

Your health information will not be sold, exchanged, transferred, or otherwise disclosed except to the extent permitted
by law to carry out specific activities related to the wellness program, and you will not be asked or required to waive the
confidentiality of your health information as a condition of participating in the wellness program or receiving an incentive.
Anyone who receives your information for purposes of providing you services as part of the wellness program will abide by
the same confidentiality requirements. The only individual(s) who will receive your personally identifiable health information
will be doctors, nurses, health coaches and related health care and/or wellness professionals, in order to provide you with
services under the wellness program.

In addition, all medical information obtained through the wellness program will be maintained separate from your personnel
records, information stored electronically will be encrypted, and no information you provide as part of the wellness program
will be used in making any employment decision. Appropriate precautions will be taken to avoid any data breach, and in
the event a data breach occurs involving information you provide in connection with the wellness program, we will notify
you immediately.

You may not be discriminated against in employment because of the medical information you provide as part of participating
in the wellness program, nor may you be subjected to retaliation if you choose not to participate.

If you have questions or concerns regarding this notice, or about protections against discrimination and retaliation, please
contact the Human Resources Department.

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